Balloon thermal endometrial ablation (using data from Cavaterm and Gynecare as specified by SERNIP) (IPG6)
The National Institute for Health and Clinical Excellence (NICE) has issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on balloon thermal endometrial ablation.
The Medicines and Healthcare Products Regulatory Agency (MHRA) has issued safety notices relating to this procedure (Reference Nos. (MDA  SN 9812 and MDA  SN 1999(18) ). For full details click here.
This guidance has been withdrawn as the use of this procedure is now covered in the Clinical Guideline on Heavy menstrual bleeding, (www.nice.org.uk/cg44). NICE has no plans to carry out further assessment of this procedure under the Interventional Procedures Programme.
This treatment is used to treat heavy menstrual periods, also known as menorrhagia.
Menorrhagia is a very common problem. In 2000/2001, about 45,000 hysterectomies and 17,000 therapeutic endoscopic uterine procedures were carried out in England (Hospital Episode Statistics; ungrossed for missing data; Department of Health). About half of these are likely to be for heavy menstrual bleeding.
Hysterectomy has been the traditional treatment for women with menorrhagia that has not responded to medical treatment. Minimally invasive procedures to destroy the lining of the uterus (endometrium) may reduce complications and recovery time compared with hysterectomy. They involve destroying the endometrium using lasers, radiofrequency waves, electrocautery, microwaves, heated saline, or a heated balloon.
Balloon thermal endometrial ablation is one of these minimally invasive procedures. It involves inserting a balloon into the uterine cavity through the cervix. The surgeon inflates the balloon with a pressurised solution, which is then heated to destroy the endometrium. It can often be carried out using local anaesthesia on a day-case basis.
- IPG6 Balloon thermal endometrial ablation: guidance
- IPG6 Balloon thermal endometrial ablation: guidance (web format)
- IPG6 Balloon thermal endometrial ablation: understanding NICE guidance
- IPG6 Balloon thermal endometrial ablation: distribution list
- Interventional procedures consultation document - balloon thermal endometrial ablation
- Overview of balloon thermal endometrial ablation (Cavaterm)
- Overview of balloon thermal endometrial ablation (Gynecare)
Gynaecology, pregnancy and birth Surgical procedures
Specialist advice sought from:Royal College of Obstetricians and GynaecologistsDate notified to NICE:01 April 2002Guidance issue date:27 August 2003Contact NICE about this projectContact Address:
Interventional Procedures Programme
National Institute for Health and Care Excellence
10 Spring Gardens
This page was last updated: 16 August 2013
The summary of the key recommendations in the guidance written for patients, carers and those with little medical knowledge and may be used in local patient information leaflets.
Quick Reference Guide
The quick reference guide presents recommendations for health professionals
The published NICE clinical guidance, contains the recommendations for health professionals and NHS bodies.
The published full clinical guidance for specialists with background, evidence, recommendations and methods used.